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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542 I <br />813-780-0020 FAX: 813-780-0021 DATE RECEIVED -;)....//../J! OS <br /> <br />PLANS REVIEW FEE <br /> <br />l~~pCW <br /> <br />~ BLOCK ~ <br />12- 2Ce - 21- 00 1(0- roStO - CP20 <br /> <br />L o..vr'1 <br />5i 11. <br /> <br />PHONE <br /> <br />l~O - Ll{2~ <br /> <br />OWNER'S NAME <br /> <br />JOB ADDRESS <br /> <br />"i <br />i <br /> <br />PARCEL 10 # <br /> <br />S1JBDIVISION 2'ftr /..I~/"f 5 <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />WORK PROPSED: ~EW CONSTRUCTION <br /> <br />o SIGN <br /> <br />o ADDITION o ALTERATION o REPAIR o INSTALL <br />o MOVE 0 DEMOLISH <br />DMULTI-FAMILY 0# OF UNITS o MOBILE HOME <br />o INDUSTRIAL ~MMING POOL o OTHER <br /> <br />PROPOSED USE: DSGL FAMILY DWELLING <br />o COMMERCIAL <br /> <br />DESCRIPTION OF WORK <br /> <br />c=J RESTAURANT & HEALTH DEP~TMENT APPROVAL <br />.sW1h\1'I\ I N l~ r fJt> I <br /> <br />BUILDING SIZE <br /> <br />SQUARE FOOTAGE <br /> <br />HEIGHT <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />~ILDIHG <br />" lJECTRICAL <br />~PLUMBING <br />o t"lECHANICAL <br /> <br />PERMITS REQUESTED <br />2. 1.[ 2S" fa ~ VALUATION OF TOTAL CONSTRUCTION <br /> <br />& (1) SET ENERGY <br />FORMS. ~)L' <br /> <br />pJ-J';L. <br />J)l)~ <br /> <br />FORMS, <br />Z I 7 I 5'<.) <br /> <br />'... ~ C':> <br />'~ ).. <br />2)- ~" <br />',7 . <br /> <br />AMP SERVICE <br /> <br />o FLORIDA POWER <br /> <br />o W,R,E. . <br /> <br /> <br />$ <br /> <br />$ <br /> <br />VALUATION OF MECHANCIAL INSTALLATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />o FRAME <br /> <br />o STEEL <br /> <br />o OTHER <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT IN FLOOD ZONE AREAD YES <br /> <br />o NO <br /> <br /> <br /> <br />COMPANY <br />STATE CERT OR REGIST <br />CITY PROCESSING # <br /> <br />4:, J ~( <br />ere 05r- 'ft.1 <br /> <br />BUILDER <br /> <br />SIGNATURE <br /> <br />*********************************************************** <br /> <br />CQJ\1PANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />Ho~OWNlIL <br /> <br />- <br /> <br />- <br /> <br />SIGNATURE <br /> <br />~ b~~** ~~ ~ ** *~ ~l ~* * ** L: ~** * ** ~::::::** i-i~: ~ * ~::: ** !~*i ~ ~ L , <br /> <br />STATE CERT OR REGIST # elL oSfc '1C:.1 <br />CITY PROCESSING # <br /> <br /> <br />PLUMBER <br /> <br />********************************************************* <br /> <br />MECHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />**************************"*************************************** <br /> <br />OTHER <br /> <br />COMPANY <br />STATE CERT OR REGIST # <br />~....fITY PROCESSING # <br /> <br />SIGNATURE <br /> <br />, ,t'"",,' <br />, '*" *. ,* ,* *, * * *,*...... .Jd.. * *,* * * * * * * * * * * * * * * * ~ ji: * * * * * * * * * * * * * * * * *'.'~', ',",* *, * * * * * * * * * <br />r~~~"~'l.J:V~' . a,'~':~' i ~ ';;ri: ; <br />...tt.......,. ~l " ! " . <br />...... . ~.' " ~ <br /> <br />~ <br />'~~"""/ <br />"I ...If......................''lI'''..\fi~'' .... '. ,. ....~.1I.. <br />